AMERICAN JOURNAL OF PSYCHOTHERAPY最新文献

{"title":"The Potential of Digital Interventions to Reduce the Disease Burden of Mental Disorders in Low- and Middle-Income Countries.","authors":"Pim Cuijpers","doi":"10.1176/appi.psychotherapy.20250035","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250035","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250035"},"PeriodicalIF":1.7,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Interpersonal Difficulties in Digital Communication in Psychotherapy for Adults With Chronic Depression.","authors":"Johannes Wolf, Matthias A Reinhard, Annedore Bodenbender, Sabrina Boger, Julia I Kunz, Stephan Goerigk, Andrea Jobst, Frank Padberg, Fabienne Grosse-Wentrup","doi":"10.1176/appi.psychotherapy.20260004","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20260004","url":null,"abstract":"<p><strong>Objective: </strong>Digital communication via messaging applications and social media is central to everyday interactions. It can also reflect dysfunctional interpersonal patterns, which are particularly relevant in chronic depression and are addressed by the cognitive-behavioral analysis system of psychotherapy (CBASP). However, digital interactions remain understudied in psychotherapy. The authors introduced the electronic situational analysis (eSA) intervention to address digital communication in psychotherapy for chronic depression.</p><p><strong>Methods: </strong>Patients with chronic depression were recruited from a university hospital in Germany and received a 10-week CBASP inpatient program with individual and group sessions. Participants could additionally join the eSA intervention, an in-person psychotherapy group that analyzed digital communication by adapting the situational analysis used in CBASP. Depression symptoms and digital communication (i.e., screen time, social media use, digital contacts, and digital conflicts) were assessed at admission and discharge.</p><p><strong>Results: </strong>Complete data were available for 74 adults. Baseline data showed severe depression symptoms (Beck Depression Inventory-II [BDI-II] score: mean±SD=31.7±10.2). Digital conflicts occurred several times per week for 23% of participants. Forty-four participants opted into the eSA group. Across the sample, decreases occurred in depression symptoms (BDI-II: B=-8.15), social media use (B=-0.19), and digital conflicts (B=-0.16). Compared with non-eSA participants, eSA participants demonstrated greater screen time reductions (B=-116.08, p=0.005). Other outcomes did not differ significantly.</p><p><strong>Conclusions: </strong>Digital communication difficulties represent prevalent interpersonal problems in chronic depression. The eSA intervention, which was widely adopted, facilitated the integration of patients' digital interactions into psychotherapy. These findings indicate potential therapeutic effects of this intervention, but controlled studies are needed.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20260004"},"PeriodicalIF":1.7,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying the Interpersonal Framework to the Mental Health Experiences of Urban Internally Displaced Persons in Mozambique.","authors":"Catherine Chantre, Antonio Suleman, Annika Sweetland, Katia Dos Santos, Marcelo Xaria, Milton Wainberg, Paulino Feliciano, Saida Khan, Myrna Weissman, Jennifer J Mootz","doi":"10.1176/appi.psychotherapy.20250075","DOIUrl":"10.1176/appi.psychotherapy.20250075","url":null,"abstract":"<p><strong>Objective: </strong>Internally displaced persons (IDPs) are at high risk for mental disorders, yet few have access to treatment. In northern Mozambique, a violent insurgency has displaced more than 1 million people to neighboring provinces. In this qualitative study, the authors explored how interpersonal counseling (IPC), an evidence-based intervention for common mental disorders currently being scaled in Mozambique, could be tailored to the psychosocial needs of IDPs.</p><p><strong>Methods: </strong>Six focus groups and five in-depth interviews were conducted with stakeholders (N=53), including IDPs, community leaders, program implementers, and humanitarian organization representatives. A thematic codebook was developed, refined, and applied to all data. The four problem areas of the interpersonal framework-grief, life transitions, interpersonal disagreements, and loneliness-guided the analysis to inform IPC adaptation.</p><p><strong>Results: </strong>Three of the four problem areas (grief, life transitions, and interpersonal disagreements) were relevant to this population, although they often co-occurred and intersected, complicating identification of a single focal problem area-a core element of IPC. Grief was pervasive but often ambiguous when loved ones were missing, creating tension between mourning and hope. Role transitions were also salient: many mothers faced sudden single parenthood, and adolescents left school to assume adult responsibilities. Disagreements between IDPs and local residents were also common.</p><p><strong>Conclusions: </strong>The interpersonal framework was highly relevant for IDPs, although adaptation may be required to address overlapping and context-specific challenges of displacement.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"appipsychotherapy20250075"},"PeriodicalIF":1.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of Group Interpersonal Psychotherapy in Lebanon: A Pilot Study.","authors":"Ali El-Attar, Jihan Bu-Sleiman, Vanessa Moussa, Mohammad Tarek El-Halabi, Rita Tayeh, Fadi Daccache","doi":"10.1176/appi.psychotherapy.20250044","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20250044","url":null,"abstract":"<p><strong>Objective: </strong>Depression is highly prevalent in Lebanon, but the number of mental health specialists is limited; alternative interventions that increase access are needed. The authors evaluated the feasibility of group interpersonal psychotherapy (IPT-G) delivered in primary health care settings as part of national efforts to expand community-based services to address depression.</p><p><strong>Methods: </strong>The authors conducted an open-label, mixed-methods feasibility trial in Lebanon. Fourteen providers completed IPT-G training and supervision by certified trainers to offer a nine-session IPT-G treatment using the Arabic version of the World Health Organization (WHO) manual. Participants scored ≥10 on the Patient Health Questionnaire-9 (PHQ-9) and were deemed low on suicide risk. Feasibility was assessed through provider focus groups. Participant outcomes included depression symptoms as indicated on the PHQ-9, level of functioning according to the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0), and provider competency evaluated with structured rating scales.</p><p><strong>Results: </strong>One hundred twenty-nine female participants were enrolled in 24 groups, with 94% attendance; 17% dropped out. PHQ-9 scores declined by 63%, and WHODAS 2.0 scores decreased by 53%, with significant improvement observed in all six WHODAS 2.0 domains. Syrian participants had higher PHQ-9 scores than Lebanese participants at multiple sessions (p<0.05). Provider competency improved significantly across three consecutive supervised group cycles (p<0.05-<0.001). Providers reported high acceptability of and a strong intent to continue IPT-G but cited needs for adequate staffing, transport, and space.</p><p><strong>Conclusions: </strong>IPT-G was feasible in a Lebanese primary care setting and improved depression and functioning, supporting readiness for expansion of its availability, given adequate supervision and resources.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Against Oversimplification: The Case for Causal Modesty and Complexity in Psychotherapy.","authors":"Mark L Ruffalo","doi":"10.1176/appi.psychotherapy.20250039","DOIUrl":"10.1176/appi.psychotherapy.20250039","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"49-51"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teaching Psychodynamic Concepts in Adult Inpatient Psychiatry: Manualized Child and Adolescent Psychotherapy Applications.","authors":"Timothy Rice, Leon Hoffman","doi":"10.1176/appi.psychotherapy.20250031","DOIUrl":"10.1176/appi.psychotherapy.20250031","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"52-53"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unconscionable Decision.","authors":"Holly A Swartz","doi":"10.1176/appi.psychotherapy.20260023","DOIUrl":"https://doi.org/10.1176/appi.psychotherapy.20260023","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":"79 2","pages":"47-48"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Unsafe\" Psychotherapy Supervision.","authors":"John C Markowitz, Randon Welton, Clio Franklin, Ana Ozdoba, Anne Ruble","doi":"10.1176/appi.psychotherapy.20250002","DOIUrl":"10.1176/appi.psychotherapy.20250002","url":null,"abstract":"<p><p>Psychotherapy supervision is essential to conveying knowledge and protecting patients and is critical to the development of psychiatric trainees. Both supervisors and supervisees generally find it rewarding. The authors describe and discuss two surprising parallel instances in which psychiatric residents at different programs abruptly terminated psychotherapy supervision, declaring it psychologically \"unsafe.\" Psychological safety in supervision requires a supervisory alliance, which when disrupted may lead residents to feel unsafe, impede their ability to learn, and impair outcomes for their patients. Psychotherapy and supervisory encounters require a tolerance of strong affect that not all individuals possess. The authors review these supervisions, discuss the inherent rigors of psychotherapy and supervision, address ways to identify and repair ruptures in the supervisory alliance, and consider the gatekeeping role of the supervisor. They also speculate on secular changes that might be altering residency education.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"78-83"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Community Engagement Experiences on the Development of Mental Health Professionals' Cultural Humility.","authors":"David J Johnson, Morgan A Stinson, Andrea Meyer-Stinson","doi":"10.1176/appi.psychotherapy.20250026","DOIUrl":"10.1176/appi.psychotherapy.20250026","url":null,"abstract":"<p><strong>Objective: </strong>Education that promotes the development of cultural humility and culturally responsive clinical work among psychotherapists may help address health care disparities faced by underserved and minority populations. This study aimed to assess the efficacy of community engagement experiences (CEEs) and directed self-reflection in addressing this area of growth with student psychotherapists.</p><p><strong>Methods: </strong>The authors examined the effect of a CEE and a directed self-reflection teaching strategy on the development of cultural humility among psychotherapy students. Seven master's-level student participants engaged in a CEE in rural Honduras, providing mental health care to an underserved population in 2023.</p><p><strong>Results: </strong>Participant-reported experiences were synthesized into four categories: self-reflection, acclimation, service work, and personal growth.</p><p><strong>Conclusions: </strong>CEEs paired with directed self-reflection were a promising teaching modality in the development of cultural humility with psychotherapy students and may be helpful to other health care professionals.</p>","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"91-94"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Disclosure: To Disclose or Not to Disclose.","authors":"Abigail A Friel","doi":"10.1176/appi.psychotherapy.20240073","DOIUrl":"10.1176/appi.psychotherapy.20240073","url":null,"abstract":"","PeriodicalId":46822,"journal":{"name":"AMERICAN JOURNAL OF PSYCHOTHERAPY","volume":" ","pages":"101-102"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}